HomeMy WebLinkAboutMortgage_Singer""� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS C n Tow ear
FOR DEDUCTION FROM ASSESSED VALUATION
S1ate Fam 43709 (R70 /77-08) ,
� � Prasaibed bY ��MKnt d Local GwemrteM Firer� M Y
/NSTRUCTIONS: File M2rk
To 6e fdetl in persan a by mad with fhe CountyAud�itar d fhe county where the property is located. ��jj� ��
Filing Dales: iJ Reel Propel(y: Must Poe dunm� the year lor which the deducfion is soughL �� ��
2) Abbde / MamAa �� Homes not assesse0 es Real Properly.� Must frle Dunrg tlre hareNe (12) m�fois �t AUD�OR
ue e9a�ceo., is N �'
See ieverse side (or edddional insWdions and qua(ificaGOns
, AppGranl lown9 9 �� aMtY' � �C+4�5 �Te� � •
0.ssesseC rdlue aF r�l praperly 89 d
Ma� 1. airtaM yea
Y ro, what is ha! hm eratf ahae d i
u iame «� rewd "¢ cmaiem u�an uu
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Name d ma�tgagea or cantraU seAer
UU
Mdtgape/ Cartract indebledness unpai0 as U Morlpape / f
March 7, werent year dafe o( app4
Address N fmrigagea or mtlrad se0er (nunberand 9reel �Y. sfaln. and ZlP code)
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own propeny in a(ry alher I tl yes, rhat mmy?
a7
n Yes n No
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I! We certify under the pei
owner I contract Duyer ot N
a.. Signature(owna�sRdnarne)
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number
legal or equ@able ownaR
❑ Yes ❑ No
oiher lhan s0ase. iMrate wdh Wwrn
m woPeMinaues;m:a,nuanywssessea
Rea1 Proparty Q Mnualy Assesse0
for CurreM yeaR
❑ Yes
20 20
�e ��. �Y ,�
No
mfortnation is true and owrect and thal the a�cant is a resiCent of InCiare and
�on is filed.
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